Donation Form

* Required
Personal Details
Contact Details
I wish to give a donation
Payment Details

Cheque Details

Please make cheques payable to Multiple Sclerosis Auckland

Card Details

We will contact you to take credit card details over the phone.

Bank Details

Deposited into MS Account, ASB Bank, St Lukes Branch,
Acc No. 12 3047 0088939 00

Please remember to put in following information;
(Particulars: "Donation", Code: Your Surname, Reference: Your First Name. )

Other Options